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General NPI Number Information
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NPI Number | 1174116305
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Entity Type | Organization
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Legal Business Name | AUJAH WAY LLC
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 433 W HARRISON ST # 803103
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City | CHICAGO
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State | IL
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Zip | 60699-3916
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Country | US
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Telephone | 773-299-1515
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Fax | 347-587-8363
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Provider Business Mailing Address
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Address Line | 433 W HARRISON ST # 803103
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City | CHICAGO
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State | IL
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Zip | 60699-3916
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Country | US
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Telephone | 773-299-1515
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Fax | 347-587-8363
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Authorized Official
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Title or Position | LEAD PROVIDER
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Name | DR. KAMEKA L BROWN
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Credential | PHD, PMHNP, FNP
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Telephone | 773-299-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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